NPI 1508307737 · live from the CMS NPI Registry
Karthikeyan Chinnakkannu, MD
Orthopaedic Surgery, Sports Medicine in Bronx, NY. National Provider Identifier 1508307737, active.
NPI record
| NPI | 1508307737 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 1650 Grand Concourse, Bronx, NY 10457 |
| Practice phone | 718-992-7669 |
| Mailing address | 199 Mount Eden Pkwy Fl 4, Bronx, NY 10457 |
| Enumerated | March 20, 2017 |
| Last updated | August 3, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Foot and Ankle Surgery | 207XX0004X | R-10963 (IA) |
| Orthopaedic Surgery, Orthopaedic Trauma | 207XX0801X | 304050 (NY) |
| Orthopaedic Surgery, Orthopaedic Trauma | 207XX0801X | P101696 (NY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | 304050 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.